Individual
MR. BRANNON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 PALMETTO AVE, PACIFICA, CA 94044-1842
(650) 355-9901
Mailing address
534 S BAYVIEW AVE, SUNNYVALE, CA 94086-6250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71591
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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